Rundbaken, Craig Michael

Rundbaken, Craig Michael is an sole proprietor health care provider with primary practice located at 13830 W Camino Del Sol Ste 240 , Sun City West AZ 85375-4746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Rundbaken, Craig Michael can be contacted via phone (623) 975-0500.

Contact Information

Primary practice address
13830 W Camino Del Sol Ste 240 Sun City West AZ 85375-4746
Fax: (623) 975-0705
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 3219 Arizona

Profile Details

NPI number 1720072903
LBN Legal business name Rundbaken, Craig Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720072903 NPPES
Arizona MEDICAID 391409

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